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The goal of this study is to evaluate the differences in functional physiopathology of the opioid and noradrenergic systems between Parkinson's patients with central pain and Parkinson's patients without central pain. Using PET-MRI data, investigators aim to observe opioids receptors availability using [11C]Carfentanil (µ opioid receptor agonist) and altered α2-AR density with [11C]Yohimbine (adrenergic α2 receptor antagonist).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PD-P (Parkinson's patient with pain) | Experimental | Parkinson's patients suffering from chronic and central pain and with a VAS score of at least 4 points. They will perform 2 different PET MRI with radiotracer , one using [11C]Carfentanil and the other one using [11C]Yohimbine |
|
| PD-NP (Parkinson's patient with no pain) | Experimental | Parkinson's patients without chronic and central pain and with a VASscore below 3 points They will perform 2 different PET MRI with radiotracer , one using [11C]Carfentanil and the other one using [11C]Yohimbine |
|
| Healthy volunteers | Experimental | Healthy volunteers without chronic pain and with a VAS score below 3 points They will perform a PET MRI with the [11C]Carfentanil radiotracer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PET-MRI exam with administration of [11C]Carfentanil | Other | Recording of functional neuroimaging data will begin immediately after intravenous injection of [11C]Carfentanil and will last for 51 minutes in a resting state. The dose will be 250 MBq/kg +-10 %. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between non-displaceable binding potential of radiotracer in brain region involved in pain | Differences between binding potential (BPND )of [11C]Carfentanil on the µ-opioid receptor and [11C]Yohimbine on α2-AR in PD-P and PD-NP patients | At the time of PET-MRI scan at Day 75 |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between BPND of both tracer and pain intensity of parkinsonian patient | Correlation between BPND measured with the [11C]Carfentanil and the[11C]Yohimbine and the pain intensity of all PD patient measured with clinical scores | At the time of PET-MRI scan at Day 75 |
| Pain matrix area |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mathilde Millot-Troesch, CRA | Contact | 04 72 35 70 58 | mathilde.millot-troesch@chu-lyon.fr | |
| Elise Météreau, CRA | Contact | 04 27 85 62 08 | elise.metereau@chu-lyon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Stéphane THOBOIS, PHD | Hospices Civils de Lyon | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Neurologique Pierre Wertheimer | Bron | 69677 | France |
It is not definied yet
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D010146 | Pain |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C017114 | carfentanil |
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Participants are assigned in 3 parallel groups without randomization :
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| PET-MRI exam with administration of [11C]Yohimbine | Other | Recording of functional neuroimaging data will begin immediately after intravenous injection of [11C]Yohimbine and will last for 70 minutes in a resting state. The dose will be 370 MBq/kg +- 10 %. |
|
Compare the resting functional connectivity in the pain matrix area (insula, pre frontal cortex, thalamus) between groups of patients with and without pain. |
| At the time of PET-MRI scan at Day 75 |
| ASL measure | Observation of the blood flow modification through ASL measure in the brain pain areas between PD-P and PD-NP patients | At the time of PET-MRI scan at Day 75 |
| CHU de Clermont-Ferrand Hôpital Gabriel Montpied | Clermont-Ferrand | 63003 | France |
|
| CHU de Toulouse - Hôpital Purpan | Toulouse | 31059 | France |
|
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |